﻿<%@ Page Language="C#" AutoEventWireup="true"
    Inherits="JWBSTAPP.MsjXjJdcbdqzmEdit" Codebehind="MsjXjJdcbdqzmEdit.aspx.cs" %>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head id="Head1" runat="server">
    <title>修改</title>
    <link href="../Styles/AddOrEditPage.css" rel="stylesheet" type="text/css" />
    <link rel="stylesheet" href="../Styles/validationEngine.jquery.css" type="text/css"
        media="screen" charset="utf-8" />
    <script src="../Scripts/jQuery-1.9.0.js" type="text/javascript"></script>
    <script type="text/javascript" src="../Scripts/jquery.validationEngine-cn.js"></script>
    <script type="text/javascript" src="../Scripts/jquery.validationEngine.js"></script>
    <script type="text/javascript" src="../Scripts/CommonADEQ3.js"></script>
       <script src="../TreeAndGridDemo/Time_js/My97DatePicker/WdatePicker.js" type="text/javascript"></script>
    <script type="text/javascript">
        $().ready(function () {
            initEditPage("MsjXjJdcbdqzmForm", "../AjaxServer/Form/MsjXjJdcbdqzmHandler.ashx");
        });
    </script>
</head>
<body>
    <div class="container">
        <form id="MsjXjJdcbdqzmForm" action="" method="get">
        <table class="mainTable">
            <tr>
                <td class="mainTable_TitleTd" colspan="4">
                    修改
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texXm">
                        姓名：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texXm" name="texXm" class="validate[required]" type="text" size="30" value="" />
                    <em>*</em></td>
                <td class="mainTable_LeftTd">
                    <label for="texSfzh">
                        身份证号：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSfzh" name="texSfzh" class="validate[required]" type="text" size="30"
                        value="" /> <em>*</em></td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texLxdh">
                        联系电话：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texLxdh" name="texLxdh" class="validate[required]" type="text" size="30"
                        value="" /> <em>*</em></td>
                <td class="mainTable_LeftTd">
                    <label for="texZz">
                        住址：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texZz" name="texZz" type="text" size="30" value="" /><em>*</em>
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texCphm">
                        车牌号码：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texCphm" name="texCphm" class="validate[required]" type="text" size="30"
                        value="" /> <em>*</em></td>
                <td class="mainTable_LeftTd">
                    <label for="texClppxh">
                        车辆品牌型号：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texClppxh" name="texClppxh"  type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texClsbhm">
                        车辆识别号码：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texClsbhm" name="texClsbhm"  type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texFdjhm">
                        发动机号码：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texFdjhm" name="texFdjhm" class="validate[required]" type="text" size="30"
                        value="" /> <em>*</em></td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texCljyqk">
                        车辆简要情况：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texCljyqk" name="texCljyqk"  type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texBdh">
                        保单号：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texBdh" name="texBdh"  type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texBxgsmc">
                        保险公司名称：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texBxgsmc" name="texBxgsmc"  type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texBasj">
                        报案时间：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texBasj" name="texBasj" class="validate[required]" type="text" size="30" onclick="WdatePicker()"
                        value="" /> <em>*</em></td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texBaqk">
                        报案情况：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texBaqk" name="texBaqk"  type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texBafs">
                        报案方式：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texBafs" name="texBafs"  type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texAjsldw">
                        案件受理单位：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texAjsldw" name="texAjsldw" class="validate[required]" type="text" size="30"
                        value="" /> <em>*</em></td>
                <td class="mainTable_LeftTd">
                    <label for="texQxsgaj">
                        区县市公安局：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texQxsgaj" name="texQxsgaj" type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texQxsgaj2">
                        派出所或刑警中队：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texQxsgaj2" name="texQxsgaj2"  type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texSlr">
                        受理人：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSlr" name="texSlr" class="validate[required]" type="text" size="30"
                        value="" /> <em>*</em></td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texQzrq">
                        签字日期：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texQzrq" name="texQzrq"  type="text" size="30" onclick="WdatePicker()"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texSljg">
                        受理机关：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSljg" name="texSljg"  type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_ButtonTd" colspan="4">
                    <input class="button" type="submit" value="提交" />
                    <input class="button" type="button" value="取消" onclick="window.parent.tb_remove();" />
                </td>
            </tr>
        </table>
        </form>
    </div>
</body>
</html>
